Victoria Renee Gilliam, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3017801 Issued in KY

Practice address

107 E Main St
Grayson, KY 41143-1301

Phone

(606) 316-7066

Fax

(606) 474-0412

NPI assigned

May 23, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY, OH2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Main Street Medical ClinicGroup PAC ID 0547616401, 2 clinicians

Community Hospice, Inc.Group PAC ID 0042242950, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Family Home Health Care, LLC Dba Adoration Home Health Home health agency, Ashland, KY, CCN 187302

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Community Hospice, Inc.

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Ashland, KY
  • NPI 1144375585

  OH

  Medicare reassignment Care Compare group NPD
• Main Street Medical Clinic

  • Family Nurse Practitioner
  • Grayson, KY
  • NPI 1952180408
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Family Home Health Care LLC

  • Home Health Agency
  • Ashland, KY
  • NPI 1740250133
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1653264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1326786146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 E MAIN ST",
            "city": "GRAYSON",
            "state": "KY",
            "postal_code": "411431301",
            "telephone_number": "606-316-7066",
            "fax_number": "606-474-0412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 E MAIN ST",
            "city": "GRAYSON",
            "state": "KY",
            "postal_code": "411431301",
            "telephone_number": "606-316-7066",
            "fax_number": "606-474-0412"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "380 Woodville Rd",
            "address_purpose": "LOCATION",
            "city": "Grayson",
            "state": "KY",
            "postal_code": "411431932",
            "country_code": "US",
            "telephone_number": "606-316-7066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILLIAM",
        "first_name": "VICTORIA",
        "middle_name": "RENEE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-23",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3017801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100836430",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Fritz
• Brianna Michelle Fryman
• Janet Fultz, LCSW
• Carolann George
• Erin Gilbert
• James Allen Gish, R.PH.
• William Gollihue
• Grayhaven Physical Therapy, LLC
• Grayson Alternate Medicine Center
• Grayson Chiropractic Center PSC Inc

• Family Nurse Practitioner in Grayson, KY
• Providers in Grayson, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.